Conroy Chow, MD
Dermatology, MOHS-Micrographic Surgery in Loma Linda, CA. Individual provider (NPI-1).
NPI number1508151556
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1508151556
- Entity type
- Individual (NPI-1)
- Name
- Conroy Chow
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2011
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | A136034 | CA | Yes |
| 207N00000X | Dermatology | A136034 | CA |
Practice location
25865 Barton Rd Ste D-101Loma Linda, CA 92354-3895
Phone 909-558-2842
Mailing address
25865 Barton Rd Ste D-101Loma Linda, CA 92354-3895
Phone 909-558-2842
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